Organization
BHARDRA RECOVERY
Active
Other names
CTC Counseling Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA CAROL DARK SUDD (DIRECTOR, OWNER)
(206) 957-0721
Entity
Organization
Contact information
Practice address
18500 156TH AVE NE, #300, WOODINVILLE, WA 98072
(206) 957-0721
(206) 957-0723
Mailing address
18500 156TH AVE NE, #300, WOODINVILLE, WA 98072
(206) 957-0721
(206) 957-0723
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
17 113800
WA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2015
Last updated
08/12/2022
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